NIC Esthetician Written ExamSkin Analysis and ConsultationHard

A client has an open lesion with pus and inflammation on her cheek. She requests an extraction of the lesion. What is the most appropriate response and action for the esthetician?

  1. AExplain that performing an extraction on an infected lesion is a contraindication and refer to a physician.
  2. BApply a hot compress to encourage drainage before extraction.
  3. CProceed with a gentle extraction using sterile tools.
  4. DPerform a facial, carefully avoiding the lesion during all steps.
Show answer & explanation

Correct answer: A. Explain that performing an extraction on an infected lesion is a contraindication and refer to a physician.

Open lesions with pus and inflammation indicate an active infection. Performing an extraction on such a lesion is an absolute contraindication for an esthetician, as it can spread the infection, worsen inflammation, lead to scarring, or cause further complications. The client should be referred to a dermatologist or physician for proper medical assessment and treatment.

Why the other options are wrong

  • B. While hot compresses can aid drainage, an esthetician should not attempt to extract an actively infected lesion.
  • C. Extracting an infected lesion is highly contraindicated and can worsen the condition, spread infection, or cause scarring.
  • D. Even avoiding the lesion, the overall facial could still irritate the surrounding skin or pose a risk of cross-contamination.

Infected Lesion Contraindication

An active skin infection or open, inflamed lesion with pus that prohibits an esthetician from performing any invasive or direct treatment on the affected area.

  • Risk of spreading infection.
  • Risk of scarring and further damage.
  • Requires medical evaluation by a physician.

Memory trick: Infection: Stop, Refer, Protect.

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